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. 2020 Feb;64(2):165-167.
doi: 10.4103/ija.IJA_718_19. Epub 2020 Feb 4.

Distorted supraclavicular brachial plexus anatomy due to cervical rib with a knuckle-Usefulness of ultrasound in planning a regional anaesthesia strategy

R Sripriya  1 , T Sivashanmugam  1 , M Ravishankar  1
Affiliations

Distorted supraclavicular brachial plexus anatomy due to cervical rib with a knuckle-Usefulness of ultrasound in planning a regional anaesthesia strategy

R Sripriya et al. Indian J Anaesth. 2020 Feb.
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Sono-anatomy of the supraclavicular area on the left side (a) and right side (b). The brachial plexus elements are seen to lie much lateral to the subclavian artery than normally on the left side. On the right side, it is oriented posterolateral to the artery. (BP: Brachial plexus, SCA: Subclavian artery, M: medial, L: lateral)
Figure 2
Figure 2
Brachial plexus elements as one cluster curving above a bony structure about 2 cm above the clavicle (Inset a). A bony hard structure with parallel margins corresponding to that of a rib could also be palpated (Inset b). (BP: Brachial plexus, SCA: Subclavian artery)
Figure 3
Figure 3
CXR of the patient. The yellow arrows indicate the upward slanting transverse process of T1 vertebra. The blue arrows indicate the cervical ribs. They are seen to join the first rib (red arrows). The green arrow shows the abnormal knuckle on the left cervical rib
See this image and copyright information in PMC

References

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